2018
DOI: 10.1371/journal.pone.0205872
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Ensemble of machine learning algorithms using the stacked generalization approach to estimate the warfarin dose

Abstract: Warfarin dosing remains challenging due to narrow therapeutic index and highly individual variability. Incorrect warfarin dosing is associated with devastating adverse events. Remarkable efforts have been made to develop the machine learning based warfarin dosing algorithms incorporating clinical factors and genetic variants such as polymorphisms in CYP2C9 and VKORC1. The most widely validated pharmacogenetic algorithm is the IWPC algorithm based on multivariate linear regression (MLR). However, with only a si… Show more

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Cited by 103 publications
(81 citation statements)
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“…The environments are also used to perform memetic optimisation, where global search, as well as local search improvements, are done using genetic and tabu search algorithms respectively. A stacking approach is used to combine classifiers, so as to synthesise estimate outputs from various neural networks and achieve high levels of accuracy (Ma, Wang, Gao, Wang & Khalighi, 2018). A single outcome is then produced for the neural network ensemble.…”
Section: Methodsmentioning
confidence: 99%
“…The environments are also used to perform memetic optimisation, where global search, as well as local search improvements, are done using genetic and tabu search algorithms respectively. A stacking approach is used to combine classifiers, so as to synthesise estimate outputs from various neural networks and achieve high levels of accuracy (Ma, Wang, Gao, Wang & Khalighi, 2018). A single outcome is then produced for the neural network ensemble.…”
Section: Methodsmentioning
confidence: 99%
“…Determination of correct dosage of therapeutics for treating blood clots is an important aspect in patient management. [33][34][35] However, interindividual dosage variability poses a challenge, whereby incorrect dosing could lead to overwhelming adverse outcomes such as localized or systemic hemorrhage. Some research groups have developed MLbased algorithms for determination of warfarin dosage.…”
Section: Application Of Prediction Models In Therapeutic Dose Estimationmentioning
confidence: 99%
“…Some research groups have developed MLbased algorithms for determination of warfarin dosage. [33][34][35] Warfarin is the most widely used oral anticoagulant and its correct dosage is crucial, as both under-and overdosing could lead to thrombosis and bleeding, respectively. The dosage for an individual depends on clinical factors, demographic variables, and genetic variance.…”
Section: Application Of Prediction Models In Therapeutic Dose Estimationmentioning
confidence: 99%
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